
Substance Abuse in The Netherlands
Pioneering Harm Reduction: The Netherlands adopted harm reduction strategies early, including the world's first needle and syringe program in 1984, which significantly reduced transmission of HIV and hepatitis B and C among people who inject drugs.
Comprehensive Services: Harm reduction programs extend beyond drug use, offering social support, welfare services, and housing, which contribute to their success in curbing the spread of infectious diseases and overdose mortality.
Methadone Accessibility: Low-threshold methadone programs ensure easy access without barriers, leading to improved health outcomes and reduced injecting drug use among participants.
Impact of Cohort Studies: The Amsterdam Cohort Studies provided long-term data, demonstrating the effectiveness of combined harm reduction strategies (e.g., methadone and needle exchange) in reducing the risks of infection and mortality.
(Van Santen et al., 2021)